Accomplished Certified Registered Nurse Case Manager with 35+ years of experience dedicated to quality care of diverse patients. Skillfully blend hands-on skills with advanced background in hospital/long term acute care settings. Work effectively with all levels of healthcare providers, physicians and administrators to address patient needs.
Overview
15
15
years of professional experience
1
1
Certification
Work History
RN Case Manager, Certified
Acuity Specialty Hospital Of The Ohio Valley
12.2009 - 04.2020
Advocated for patients by communicating care preferences to practitioners, verifying interventions, and treatment goals.
Effectively communicate with physicians regarding patient needs, performance, medications and changes.
Evaluate healthcare needs, goals for treatment, and available resources of each patient and connect to optimal providers and care.
Respond promptly and professionally to patient, and families questions and concerns.
Coordinate the provision of clinical care to patients, and assist clinical staff with patient care as needed.
Direct and coordinate discharge plans and post-hospital care of patients.
Provide education to physicians and other departments to enhance their understanding of medical necessity.
Education to staff, physicians, patients, families and ancillary staff all aspects of patient's plan of care, length of stay, and discharge plans.
Obtain health insurance authorization for continued stay, skilled nursing care, home health, medications and DME as necessary.
Provide advice and guidance in handling special cases or patient needs.
RN Case Manager/Quality Care Coordinator
Ohio Valley Medical Center
01.2005 - 12.2009
Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
Advocate for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Educate patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Concurrent hospital record review to ensure quality care standards are met.
Acts as liaison between insurance companies and Physicians to capture optimum reimbursement.
Active participation in discharge rounds to ensure multi-disciplinary approach to patient care is achieved.
Education
Diploma - Nursing
Ohio Valley Medical Center School of Nursing
Wheeling, WV
05.1986
Skills
Determine Medical Necessity
Life-Sustaining Machines
OSHA Safety Expertise
Mental and Physical Assessments
Patient Care
Area of Expertise Specialized Care
Patient Education
Hospice Philosophy Understanding
Complex Problem-Solving
Family Education
Patient Discharging
Patient Intervention
Staff Training
Case Conferences
Medicare Regulation
Medical Assessments
Strong Clinical Judgment
Patient Monitoring
Patient and Family Advocacy
Certification
Certified Case Manager
Additional Information
References are available upon request.
I am available for an interview at your convenience and appreciate your time and consideration.
I am available for immediate hire, for RN immunization, or other Health Department nursing needs.
Timeline
RN Case Manager, Certified
Acuity Specialty Hospital Of The Ohio Valley
12.2009 - 04.2020
RN Case Manager/Quality Care Coordinator
Ohio Valley Medical Center
01.2005 - 12.2009
Diploma - Nursing
Ohio Valley Medical Center School of Nursing
Certified Case Manager
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